Catheter-based therapy for acute ischemic stroke: a national unmet need.
Early reperfusion therapy for acute stroke, similar to acute myocardial infarction, has the best opportunity to reduce morbidity and mortality. Treatment options include intravenous (IV) thrombolysis therapy and/or catheter-based therapy (CBT). Catheter-based therapies include local intra-arterial thrombolysis, mechanical thrombectomy, and angioplasty techniques. Intravenous thrombolysis is limited to the first three hours after symptom onset, which excludes many patients with disabling stroke deficits. Catheter-based therapy is effective up to seven hours after onset, but availability is limited by the lack of neurointerventionalists available around the clock to provide this care. To increase the number of providers for acute stroke reperfusion therapy, we have formed a multidisciplinary team to take advantage of cardiologists' carotid stent placement experience to provide continuous coverage for emergency reperfusion therapy. We present two cases of acute stroke treated with CBT by interventional cardiologists.
DeVries
James T
JT
Department of Cardiology, Ochsner Heart and Vascular Institute, Ochsner Clinic Foundation, New Orleans, Louisiana 70121, USA.
White
Christopher J
CJ
Cunningham
Michael C
MC
Ramee
Steven R
SR
D000368:Aged; D002404:Catheterization / Q000295:instrumentation*; D002533:Cerebral Angiography; D002560:Cerebrovascular Circulation; D017128:Embolectomy / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D020244:Infarction, Middle Cerebral Artery / Q000000981:diagnostic imaging / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*; D020766:Intracranial Embolism / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D020767:Intracranial Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D015424:Reperfusion / Q000295:instrumentation*; D017131:Thrombectomy / Q000295:instrumentation*; D016896:Treatment Outcome; D014654:Vascular Patency